Engagement Registration Form

Engagement Registration Form
Name of Fiancé*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Place of Birth
City, State, Country
State of Issued ID
Country of Residence
ID Number
Upload ID/DL/Passport

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Phone Number*
(xxx) xxx-xxxx
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Name of Fiancée*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Place of Birth
City, State, Country
State of Issued ID
Country of Residence
ID Number
Upload ID/DL/Passport

Browse Files

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Phone Number*
(xxx) xxx-xxxx
Email
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Witness #1*

First NameLast Name
State of Issued ID
Country of Residence
ID Number
Upload ID/DL/Passport

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Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
(xxx) xxx-xxxx
Email
example@example.com
Witness #2*

First NameMiddle NameLast Name
State of Issued ID
Country of Residence
ID Number
Upload ID/DL/Passport

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Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
(xxx) xxx-xxxx
Email
example@example.com
Parish*
Engagement Date*

MonthDayYear
Officiating Priest*
Supporting Documentation

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In the presence of the witnesses and stewards, the couple have affirmed that (1) they accept each other with their own free will and by their own choice. (2) There are no legal nor canonical impediments preventing their marriage. (3) The Church is not responsible for any financial disputes that arise from the dissolution of the engagement.
Signature of Fiancé
Signature of Fiancée
Signature of Witness #1
Signature of Witness #2
Signature of Officiating Priest
Priest Email*
example@example.com
Should be Empty: